fe fe fe fe fe fe fe fe fe fe fe fe
,Nursing
fe
Varcarolis: Essentials of Psychiatric Mental Health N u r as bi inr bg. c:o mA/ t eC
fe
s t ommunication fe fe fe fe fe
fe
Approach to Evidence-Based Care, 4th Edition
fe fe fe fe fe fe
abirb.com/test
MULTIPLE CHOICE fe
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
living in the community and diagnosed with serious and p ae br isr bi s. ctoemn/ tt e m
fe fe fe fe
s t ental illness? Within 3 fe fe fe fe fe fe
fe
fe fe fe
months, the patient will demonstrate what behavior?
fe fe fe fe fe fe fe
a. Denying suicidal ideation fe fe
b. Reporting a sense of well-being fe fe fe fe
abirb.com/test
c. Taking medications as prescribed fe fe fe
d. Attending clinic appointments on time fe fe fe fe
ANS: f e B abirb.com/test
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
fe fe fe fe fe fe fe fe
role performance. The goal of recovery is to empower the individual with mental illness to
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
achieve a sense of meaning and satisfaction in life and to function at the highest possible level
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
of wellness. The incorrect options focus on the classic m e da bi ci r ba. lc omm o/ t edset l rather than recovery.
fe fe fe fe fe fe fe fe fe fe
fe
fe fe fe
DIF: Cognitive Level: Application (Applying) fe fe fe
TOP: Nursing Process: Outcomes Identification
fe f e fe fe fe
abirb.com/test
MSC: NCLEX: Health Promotion and
fe f e fe fe fe
Maintenance
fe
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
fe fe fe fe fe fe fe fe fe fe fe fe fe fe
divorce. Select the nurse‘s most caring comment. fe
abirb.com/test fe fe fe fe fe
a. ―Let‘s discuss healthy means of coping when you have suicidal feelings.‖
fe fe fe fe fe fe fe fe fe fe
b. ―I understand why you‘re so depressed. When I got divorced, I was devastated
fe fe fe fe fe fe fe fe fe fe fe fe
too.‖ fe
c. ―You should forget about your marriage and move on awbiirtbh.coymo/uterstlife.‖
fe fe fe fe fe fe fe fe fe
d. ―How did you get so depressed that hospitalization was necessary?‖
fe fe fe fe fe fe fe fe fe
ANS: f e A
The nurse‘s communication should evidence caring and aacboi r m
fe
b.c om /t es t
m i t m e nt to work with the
fe fe fe fe fe fe fe fe fe fe fe fe
patient. This commitment lets the patient know the nurse will help. Probing and advice are not
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
helpful for therapeutic interventions.
fe fe fe fe
abirb.com/test
DIF: Cognitive Level: Application (Applying) fe fe fe
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
f e fe fe f e fe fe
3. In the shift-change report, an off-going nurse criticizes a paabti ir be. nc ot mw/ t ehsot wears extremely heavy
fe fe fe fe fe fe fe fe fe
f e
fe fe
fe makeup. Which comment by the nurse who receives the report best demonstrates advocacy?
fe fe fe fe fe fe fe fe fe fe fe fe
a. ―This is a psychiatric hospital, so we expect our patients to behave bizarrely.‖
fe fe fe fe fe fe fe fe fe fe fe fe
b. ―Let‘s all show acceptance of this patient by wearing l aobti sr b o. c fo mm/ t easkt eup too.‖
fe fe fe fe fe fe fe fe fe
fe
fe
c. ―Your comments are inconsiderate and inappropriate. Keep the report objective.‖
fe fe fe fe fe fe fe fe fe
d. ―Our patients need our help to learn behaviors that will help them get along in
fe fe fe fe fe fe fe fe fe fe fe fe fe fe
society.‖ fe
abirb.com/test
ANS:
fD e
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
, Accepting patients‘ needs for self-expression and seeking to teach skills that will contribute to
fe fe fe fe fe fe fe fe fe fe fe fe fe
their well-being demonstrate respect and are important parts of advocacy. The on-coming
fe fe fe fe fe fe fe fe fe fe fe fe
nurse needs to take action to ensure that others are not prejaub idr bi.cc eo md / tae gs t ainst the patient. Humor
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
can be appropriate within the privacy of a shift report but not at the expense of respect for
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
patients. Judging the off-going nurse in a critical way will create conflict. Nurses must show
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
compassion for each other.
fe fe fe fe
abirb.com/test
DIF: Cognitive Level: Application (Applying) fe fe fe
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
f e fe fe f e fe fe fe fe
abirb.com/test
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
fe fe fe fe fe fe fe fe fe fe fe fe
statement is an example of ―attending‖? fe fe fe fe fe
a. ―We all have stress in life. Being in a psychiatric hospital is not the end of the
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
world.‖ abirb.com/test
b. ―Tell me why you felt you had to be hospitalized to receive treatment for your
fe fe fe fe fe fe fe fe fe fe fe fe fe fe
depression.‖ fe
c. ―You will feel better after we get some antidepressantamb i rebd. ciocma/tt ieos tn started for you.‖
fe fe fe fe fe fe fe fe fe fe fe fe
d. ―I‘d like to sit with you for a while, so you may feel more comfortable talking with
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
me.‖
ANS: abirb.com/test
fD e
Attending is a technique that demonstrates the nurse‘s commitment to the relationship and
fe fe fe fe fe fe fe fe fe fe fe fe
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
fe fe fe fe fe fe fe fe fe fe fe fe fe
caring. Generalizations, probing, and false reassurances are nontherapeutic.
fe fe fe fe fe fe fe fe
abirb.com/test
DIF: Cognitive Level: Application (Applying) fe fe fe
TOP: Nursing Process: Implementation MSC: NCLEX: Psychosocial Integrity
f e fe fe f e fe fe
5. A patient shows the nurse an article from the Internet abouatbiarb .hc oemal/ttehs t problem. Which
fe fe fe fe fe fe fe fe fe fe fe
characteristic of the website‘s address most alerts the nurse that the site may have biased and
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
prejudiced information?
fe fe
a. Address ends in ―.org.‖ abirb.com/test fe fe fe
b. Address ends in ―.com.‖ fe fe fe
c. Address ends in ―.gov.‖ fe fe fe
d. Address ends in ―.net.‖ fe fe fe
abirb.com/test
ANS: f e B
Financial influences on a site are a clue that the information may be biased. ―.com‖ at the end
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
of the address indicates that the site is a commercial one.
fe fe fe ―.gov‖ indicates that the site is fe fe fe fe fe fe fe fe fe fe fe fe fe fe
a bir b . c om /te st
maintained by a government entity. ―.org‖ indicates that th e s i t e is n onproprietary; the site
fe fe fe fe fe fe fe fe fe fe
may or may not have reliable information, but it does not profit from its activities. ―.net‖ can
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
have multiple meanings.
fe fe fe
abirb.com/test
DIF: Cognitive Level: Comprehension (Understanding) TOP: fe fe fe f e Nursing Process: fe
Evaluation MSC: NCLEX: Health Promotion and Maintenance
fe fe f e fe fe fe fe
6. A nurse says, ―When I was in school, I learned to call u ps ea tb i rpba. ctoi men/ t et ss t by name to get their
fe fe fe fe fe fe fe fe fe fe fe fe
fe
fe fe fe fe
attention; however, I read a descriptive research study that says that this approach does not
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
work. I plan to stop calling patients by name.‖ Which statement is the best appraisal of this
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
nurse‘s comment? fe
abirb.com/test
a. One descriptive research study rarely provides enough evidence to change practice.
fe fe fe fe fe fe fe fe fe fe
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test
, b. Staff nurses apply new research findings only with the help from clinical nurse
fe fe fe fe fe fe fe fe fe fe fe fe
fe specialists.
c. New research findings should be incorporated into clinaibci rabl. c ao mlg/ toe sr tithms before using
fe fe fe fe fe fe fe fe fe
them in practice.
fe fe fe
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
fe fe fe fe fe fe fe fe fe fe fe fe fe
fe change.
abirb.com/test
ANS: f e A
Descriptive research findings provide evidence for practice but must be viewed in relation to
fe fe fe fe fe fe fe fe fe fe fe fe fe
other studies before practice changes. One study is not enough. Descriptive studies are low on
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
a b i rb .c om /t es t
the hierarchy of evidence. Clinical algorithms use flowcha r t s t o m a n age problems and do not
fe fe fe fe fe fe fe fe fe fe fe
specify one response to a clinical problem. Classic tenets of practice should change as
fe fe fe fe fe fe fe fe fe fe fe fe fe
research findings provide evidence for change.
fe fe fe fe fe fe
abirb.com/test
DIF: Cognitive Level: Analysis (Analyzing) TOP: fe fe fe f e Nursing Process: fe
Evaluation MSC: NCLEX: Health Promotion and Maintenance
fe fe f e fe fe fe fe
7. Two nursing students discuss career plans after graduationa.b iO
fe fe
r bn
. c eo ms/tt eusdt ent wants to enter fe fe fe fe fe
fe
fe fe fe
psychiatric nursing. The other student asks, ―Why would you want to be a psychiatric nurse?
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
All they do is talk. You will lose your skills.‖ Select the best response by the student
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
interested in psychiatric nursing. fe
abirb.com/test
fe fe
a. ―Psychiatric nurses‘ practice in safer environments than other specialties and fe fe fe fe fe fe fe fe fe
nurse-to-patient ratios are better because of the nature of patients‘ problems.‖
fe fe fe fe fe fe fe fe fe fe fe
b. ―Psychiatric nurses use complex communication skills, as well as critical thinking, fe fe fe fe fe fe fe fe fe fe
to solve multidimensional problems. I‘m challenged bya bti rhb o. c so em /st eist tuations.‖
fe fe fe fe fe fe fe
c. ―I think I will be good in the mental health field. I do not like clinical rotations in
fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe fe
school, so I do not want to continue them after I graduate.‖
fe fe fe fe fe fe fe fe fe fe fe fe
d. ―Psychiatric nurses do not have to deal with as much paabii rnb . ac onmd/ t essut ffering as
fe fe fe fe fe fe fe fe fe fe fe
medical-surgical nurses. That appeals to me.‖
fe fe fe fe fe fe
ANS: f e B
The practice of psychiatric nursing requires a different s et aob fi r bs. ckoiml l/st e ts ht an medical-surgical
fe fe fe fe fe fe fe fe fe fe
nursing, although substantial overlap does exist. Psychiatric nurses must be able to help
fe fe fe fe fe fe fe fe fe fe fe fe fe
patients with medical and mental health problems, reflecting the holistic perspective these
fe fe fe fe fe fe fe fe fe fe fe fe
nurses must have. Nurse–patient ratios and workloads in psychiatric settings have increased,
fe fe fe fe fe fe fe fe fe fe fe fe
similar to other specialties. Psychiatric nursing involves c lai bni ri bc. ac ol mp/ treasct tice, not simply
fe fe fe fe fe fe fe fe fe fe fe
documentation. Psychosocial pain is real and can cause as much suffering as physical pain.
fe fe fe fe fe fe fe fe fe fe fe fe fe fe
DIF: Cognitive Level: Application (Applying) abirb.com/test fe fe fe
TOP: Nursing Process: Implementation MSC: NCLEX: Safe, Effective Care Environment
f e fe fe f e fe fe fe fe
8. Which research evidence would most influence a group of nurses to change their practice?
fe fe fe fe fe fe fe fe fe fe fe fe fe
a. Expert committee report of recommendations for practaibcireb.com/test
fe fe fe fe fe fe
b. Systematic review of randomized controlled trials fe fe fe fe fe
c. Nonexperimental descriptive study fe fe
d. Critical pathway fe
abirb.com/test
ANS: f e B
abirb.com/test
abirb.com/test
WWW.NURSYLAB.COM
WWW.THENURSINGMASTERY.COM
abirb.com/test